- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in ... Remote Houston TX . Daily Responsibilities for Utilization Review RN : WIll need to use their OWN EQUIPMENT: 2 screens, will need a headset, high speed… more
- Commonwealth Care Alliance (Boston, MA)
- … Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... reviews). - Hire, train and mentor UM staff, including nurse reviewers and support personnel. - Act as liaison...Skills & Abilities (must have): - Expertise in managing utilization review processes including prior authorization, concurrent… more
- SR International, Inc. (Phoenix, AZ)
- …obtain their own laptop SOAZ - Posting ID # 5297 - Medical Review Nurse (Local Only/Mostly Remote/Onsite Trainings) Skills Required: *Medical nursing practice, ... times for training once starting position Compliance Items: Active RN License in state of Arizona Fingerprint Clearance Card...medical case management protocols, quality management and utilization review protocols as related to all… more
- Aveanna Healthcare (Birmingham, AL)
- $7500 Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management, symptom control in the delivery of care to hospice ... of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as...Time, and Paid Holidays Qualifications: Current license as a Registered Nurse in the State of Alabama… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical ... Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Alameda Health System (San Leandro, CA)
- …necessarily performed by each individual in the classification. + Coordinates all utilization review functions, including response to payor requests for ... experience in Case Management in an acute setting or utilization review at a medical group or...or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California,… more
- Stony Brook University (Stony Brook, NY)
- Registered Nurse 1 (T&RC) - Blood Donor Full-Time Day Shift **Position Summary** At Stony Brook Medicine, our Registered Nurses are critical members of the ... while adhering to a medical regimen. **Duties of a Registered Nurse in the Blood Donor Department...Donor and Therapeutic Apheresis as assigned.. + Perform blood utilization quality assurance, donor related work as assigned. +… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- … License Certifications: BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager ... of Mary Medical Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN - Case… more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... SLH Case Manager RN + San Leandro, CA + San Leandro...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Luke Staffing (Glendale, CO)
- …- Friday, 7:30 AM - 5:30 PM (excluding federal holidays) **POSITION OVERVIEW:** The Registered Nurse ( RN ) will provide on-site professional nursing services ... ** REGISTERED NURSE ** **SITE OF SERVICE:** Department...of Veterans Affairs' Eastern Colorado Healthcare System (ECHCS). The RN will serve in the Office of Community Care… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Health Educator** supporting **Naval Medical Center San Diego, CA ... of other individuals performing similar services. ? Participate in peer review and performance improvement activities. ? Practice aseptic techniques as necessary.… more
- MVP Health Care (Rochester, NY)
- …facilities, and interdisciplinary teams to ensure optimal patient care and resource utilization . Document review outcomes and maintain compliance with regulatory ... To achieve this, we're looking for a Professional, Sub-Acute RN UM Reviewer - Medicare to join #TeamMVP. If...nursing experience At least 2 years of experience in utilization management of sub-acute Medicare reviews Experience with Medicare… more
- Katmai (Fort Carson, CO)
- …RESPONSIBILITIES** None. **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from a college or ... those required of any military or government civil service nurse of similar experience and in similar duty assignments....+ Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado or… more
- University Health (San Antonio, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (San Antonio, TX)
- …Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the...licensure as a Registered Nurse with the Texas State Board...licensure as a Registered Nurse with the Texas State Board of … more
- University Health (San Antonio, TX)
- …to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS ... Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or… more
- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... site visits and study close-outs; and collaborates on the review of documentation during protocol audits. + Develops protocol...in a research related degree **Licenses and Certifications** + CA- RN ( Registered Nurse ) . +… more
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